Clinic
General Conference Corp of Sda
General Conference Corp of Sda was paid $756K by Medicaid between Oct 2019 and Aug 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoGENERAL CONFERENCE CORP OF SDA
TAMUNING, GU 96913
TAMUNING, GU 96913
33aNPI1275586877assigned 05/18/2006
33bProvider typeClinic/Center
28Total paid$756K
24GClaims16,283
24DCodes billed56
24AFirst – last monthOct 2019 – Aug 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 114 | $6K | |
| 2020 | 821 | $32K | |
| 2021 | 2,211 | $118K | |
| 2022 | 4,894 | $262K | |
| 2023 | 5,488 | $233K | |
| 2024incomplete | 2,755 | $104K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 5,223 | 4,800 | $328K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 22% | 2,091 | 1,922 | $169K |
| 90461 | 9.0% | 1,671 | 1,590 | $68K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.9% | 2,512 | 2,374 | $52K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 155 | 155 | $16K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.0% | 264 | 256 | $15K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.7% | 108 | 108 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 251 | 241 | $12K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.5% | 488 | 478 | $12K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.5% | 138 | 137 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.3% | 236 | 223 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 105 | 103 | $8K |
44 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 325 | $6K |
| 99383 | <1% | 44 | $6K | |
| 86580 | <1% | 353 | $4K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 51 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 20 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 43 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 183 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 24 | $2K |
| 99201 | <1% | 28 | $1K | |
| 90677 | <1% | 122 | $1K | |
| 99401 | <1% | 29 | $1K | |
| D1203 | <1% | 53 | $987.00 | |
| 80061 | Lipid panel | <1% | 77 | $910.52 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 62 | $910.25 |
| D1110 | Prophylaxis - adult | <1% | 13 | $676.00 |
| 82728 | <1% | 49 | $667.87 | |
| 92250 | <1% | 13 | $438.02 | |
| D0274 | Bitewings - four radiographic images | <1% | 13 | $432.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 51 | $396.27 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 24 | $360.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 37 | $339.85 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 40 | $338.40 |
| 90670 | <1% | 238 | $309.59 | |
| 90715 | <1% | 25 | $306.40 | |
| 96127 | <1% | 55 | $238.48 | |
| 80053 | Comprehensive metabolic panel | <1% | 25 | $232.32 |
| 92552 | <1% | 33 | $173.64 | |
| 92015 | Determination of refractive state | <1% | 18 | $79.76 |
| 90688 | <1% | 29 | $79.64 | |
| 90697 | <1% | 13 | $62.10 | |
| 99490 | Ccm add 20min | <1% | 12 | $48.80 |
| 99173 | <1% | 32 | $35.12 | |
| 90633 | <1% | 70 | $29.55 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 30 | $18.86 |
| 90707 | 0% | 88 | $0.00 | |
| 90713 | 0% | 154 | $0.00 | |
| 90700 | 0% | 254 | $0.00 | |
| 90687 | 0% | 19 | $0.00 | |
| 90648 | 0% | 136 | $0.00 | |
| 91300 | 0% | 12 | $0.00 | |
| 90716 | 0% | 74 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 90686 | 0% | 29 | $0.00 | |
| 90651 | 0% | 29 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSHEPHERD POTTINGER, VICTOR (CEO)